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The outgoing Chief Inspector of Hospitals, Professor Sir Mike Richards, has said the NHS is going to need more money to meet the increasing demands of a growing population - but it can also improve care without extra funds.
The amount of time spent needing daily care at the end of life has doubled in England over the past two decades, a study suggests.
The Newcastle University study found men spent 2.4 years on average needing regular care and women three years.
This includes everything from help with washing and dressing each day to round-the-clock care.
The number of people waiting for routine surgery in England is at its highest level for a decade, figures from NHS England show.
It is estimated more than four million people were waiting for operations in June - a figure last seen in 2007.